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Organization
DR WILBOURNE R CROUCH, M.D.
Active
Organization
DR WILBOURNE R CROUCH, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILBOURNE R CROUCH MD (MD)
(256) 773-5429
Entity
Organization
Contact information
Practice address
301 PINE ST NW, SUITE B, HARTSELLE, AL 35640-2338
(256) 773-5429
(256) 773-4888
Mailing address
301 PINE ST NW, SUITE B, HARTSELLE, AL 35640-2338
(256) 773-5429
(256) 773-4888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N05434
AL
Other
Enumeration date
12/11/2006
Last updated
04/07/2010
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